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Mmr Vaccine, Ambulatory Care

The MMR vaccine

is an injection given to help prevent measles, mumps, and rubella. Measles causes a skin rash to appear on the head and upper neck. The rash slowly spreads to the hands and feet. Mumps infects many parts of the body and usually causes inflammation of the parotid glands. These glands make saliva and are found in the cheeks. Rubella causes a skin rash that usually starts on the face. The rash spreads to the chest, abdomen, back, arms, and legs.

Who should get the MMR vaccine:

  • Infants 6 to 11 months traveling internationally may need 1 MMR shot. They should then follow the same schedule as children 12 months to 6 years.
  • Children 12 months to 6 years usually receive 2 MMR shots. The first dose should be given at 12 to 15 months. The second dose is usually given at 4 to 6 years. The second dose may be given before age 4 if it has been at least 4 weeks since the first dose.
    IMMUNIZATION SCHEDULE
  • Children 7 to 18 years who have not had the vaccine should receive 2 doses. Those who have had only 1 dose should receive a second dose at least 4 weeks after the first dose.
  • Adults born before 1957 are considered immune and do not need the MMR vaccine unless they work in healthcare.
  • Adults born during or after 1957 may need 1 or more doses. Adults born during or after 1957 who are at high risk may need a second dose. This dose is usually given 4 weeks after the first dose. The following adults may have a higher risk for infection:
    • College students
    • Healthcare workers
    • Anyone who has recently been near someone with measles, mumps, or rubella
    • Anyone who plans to travel to a different country
    • Anyone who lives in an area where measles, mumps, or rubella is common or there is an outbreak
    • Anyone who has been vaccinated with nonliving measles vaccine or an unknown type of measles vaccine between 1963 and 1967
    • Anyone who has been vaccinated with nonliving mumps vaccine or an unknown type of mumps vaccine before 1979 and who is a healthcare worker
    • Anyone who has not already had the MMR vaccine and who lives with a person who has a weak immune system

Who should not get the MMR vaccine:

  • Anyone who has had 2 doses of the MMR vaccine or who is immune to MMR
  • Anyone who has had an allergic reaction to gelatin, antibiotic medicine, or a previous MMR vaccine

Who should wait to get the MMR vaccine:

  • Anyone who is sick or has a fever should wait until they feel better to get the vaccine.
  • A pregnant woman should wait to get the vaccine until after she gives birth. A woman should not get pregnant for 1 month after she gets the vaccine. A woman who is trying to get pregnant should wait until her healthcare provider says it is okay to get the vaccine.
  • Ask whether you should get the MMR vaccine if you:
    • Are being treated with medicine that affects the immune system, such as steroids
    • Have a disease that weakens the immune system, such as cancer, HIV, or AIDS
    • Have untreated, active tuberculosis (TB) or a history of blood problems, such as thrombocytopenia
    • Have received a blood transfusion in the past 3 to 11 months

Call 911 for any of the following:

  • A swollen mouth or throat
  • Wheezing or trouble breathing
  • Chest pain or a fast heartbeat
  • Feeling faint

Seek immediate care for the following:

  • A red or swollen face
  • Hives that spread over your body
  • Feeling weak or dizzy

Follow up with your healthcare provider as directed:

Write down your questions so you remember to ask them during your visits.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

© 2016 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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